Othman, S., Abu‑Nazel, M., Omar, T., Abdelaziz, H., Shata, Z. (2024). Effectiveness of a Parent Training Intervention for Children with Comorbid Autism Spectrum Disorder and Behavioral Problems in Alexandria, Egypt. Journal of High Institute of Public Health, 54(1), 10-22. doi: 10.21608/jhiph.2024.372297
Sally S. Othman; Mervat W. Abu‑Nazel; Tarek E.I. Omar; Heba A. Abdelaziz; Zeinab N. Shata. "Effectiveness of a Parent Training Intervention for Children with Comorbid Autism Spectrum Disorder and Behavioral Problems in Alexandria, Egypt". Journal of High Institute of Public Health, 54, 1, 2024, 10-22. doi: 10.21608/jhiph.2024.372297
Othman, S., Abu‑Nazel, M., Omar, T., Abdelaziz, H., Shata, Z. (2024). 'Effectiveness of a Parent Training Intervention for Children with Comorbid Autism Spectrum Disorder and Behavioral Problems in Alexandria, Egypt', Journal of High Institute of Public Health, 54(1), pp. 10-22. doi: 10.21608/jhiph.2024.372297
Othman, S., Abu‑Nazel, M., Omar, T., Abdelaziz, H., Shata, Z. Effectiveness of a Parent Training Intervention for Children with Comorbid Autism Spectrum Disorder and Behavioral Problems in Alexandria, Egypt. Journal of High Institute of Public Health, 2024; 54(1): 10-22. doi: 10.21608/jhiph.2024.372297
Effectiveness of a Parent Training Intervention for Children with Comorbid Autism Spectrum Disorder and Behavioral Problems in Alexandria, Egypt
1Department of Family Health, High Institute of Public Health, Alexandria University, Egypt
2Department of Pediatrics, Faculty of Medicine, Alexandria University, Egypt
Abstract
Background: Parents of children with autism spectrum disorder (ASD) experience several negative psychological outcomes that are compounded by the presence of children’s comorbid behavioral problems. Objective(s): To evaluate the effectiveness of a culturally sensitive parent training intervention for children with comorbid ASD and behavioral problems in a clinic-based setting in Alexandria, Egypt. Methods: A quasi-experimental study with non-equivalent groups (intervention, non-intervention, 46 each) was conducted targeting parents/caregivers of children aged ≥ 3 years with ASD and having at least one behavioral problem. The intervention group participated in a multi-component group < br />intervention including psychoeducation, parent training and brief cognitive behavioral therapy. Both groups were assessed immediately after program completion (post-1) and 3 months later (post-2). Measured outcomes included caregivers’ ASD related knowledge and emotional status, and children’s behavioral problems, that were assessed using: ASD knowledge self-report questionnaire, The Arabic Version of Depression Anxiety Stress Scales, The Arabic Version of Strengths and Difficulties Questionnaire, and The Arabic Version of Home Situation Questionnaire for ASD. Results: Positive effect of the program was evidenced by significant improvement on all outcome measures at post-2. The highest percentage mean change was reported in caregivers’ anxiety symptoms (-63.64), followed by caregivers’ depression symptoms, child’s behavioral problems and caregivers’ stress symptoms (-52.63, -45.64 and -38.18, respectively). ASD related knowledge recorded the least percentage mean change (18.18). Conclusion: The current intervention provided evidence for the effectiveness of an Egyptian group - based parent-focused multi-component intervention in addressing educational and emotional problems of caregivers of children with comorbid ASD and behavioral problems.
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